Team Member-od Claims Investigation

2 weeks ago


Rajarhat Kolkata West Bengal, India Bajaj Allianz General Insurance Company Full time
:

Desktop Investigation

  • Trigger identification through data at intimation/Referral stage
Social media searches
Cold calling using digital platforms
Identify key business people, link analysisClaim Investigation

  • Allocation of assigned claims to respective vendors with case relevant triggers
Follow up for IR and TAT management
Level 1 QC clearance & validate the submissions against shared triggers
Success in claim investigation based upon strong medical & legal evidences
Preparing reports based on findings and observations and guide / Gathering and Analyzing the facts and developing & creating evidence which stands in court of law
Report submission and coordination with claims team.
Evidence Matrix Assurance

  • Ascertain evidence quality as per matrix
Validate each & every evidence with the case triggers
DMS of hardcopy maintenanceEscalation Management

  • Document Complaince through Field Investigation of HVC
Further Requirement Complaince
OFR and CFR with Stake holdersData Management

  • MIS preparation and report reconciliation
Payment reconciliation with Vendors
Project trackingVendor Management

  • Vendor Empanelment & Training & Development
Ensure the ethics and compliance during managing the external investigators and self
- investigation of cases
Vendor Payment Reconciliation
Department
:

East

Open Positions
:

1

Skills Required:

:

Industry & Competitive Awareness ; Claims Excellence ; Impactful Communication

Location
:

Kolkata Rajarhat

Education/Qualification
:

Graduate/Post Graduate

Years Of Exp
:

1 to 4 Years

Posted On
:

  • 03Nov2023
    Designation
:

Team Member-OD Claims Investigation

  • Rajarhat, Kolkata, West Bengal, India bajajallianz Full time

    Desktop Investigation - Trigger identification through data at intimation/Referral stage - Social media searches - Cold calling using digital platforms - Identify key business people, link analysis Claim Investigation - Allocation of assigned claims to respective vendors with case relevant triggers - Follow up for IR and TAT management - Level 1 QC...


  • Rajarhat, Kolkata, West Bengal, India Bajaj Allianz General Insurance Company Full time

    : - Taking care of Corporate claims process One point contact for PID Creation and New MOU fallow up & collection External Surveyors fallow-up Back support for a team and an average of 800 Payment posting Attending phone calls of customers HO Co-ordination for repair portal ID creations**Department** : East **Open Positions** : 1 **Skills...


  • Rajarhat, Kolkata, West Bengal, India bajajallianz Full time

    **Claims Management (Approvals)**: - Once a High Value Claim, Super High Value Claim or Critical Claim is registered and intimated, review the petition and suggest/approve the appropriate reserve as well as course of action to the execution team as per the TAT. - Authorize a suitable reserve amount for the claim; review and modify the reserves for the case...


  • Rajarhat, Kolkata, West Bengal, India bajajallianz Full time

    Claims Management (Approvals): Once a High Value Claim, Super High Value Claim or Critical Claim is registered and intimated, review the petition and suggest/approve the appropriate reserve as well as course of action to the execution team as per the TAT. Authorize a suitable reserve amount for the claim; review and modify the reserves for the case based on...


  • Rajarhat, Kolkata, West Bengal, India Bajaj Allianz General Insurance Company Full time

    : Taking care of Corporate claims process One point contact for PID Creation and New MOU fallow up & collection External Surveyors fallow-up Back support for a team and an average of 800 Payment posting Attending phone calls of customers HO Co-ordination for repair portal ID creationsDepartment:EastOpen Positions:1Skills Required::Industry Understanding &...


  • Rajarhat, Kolkata, West Bengal, India bajajallianz Full time

    Drafting and pleading skills will be considered as added advantage. Knowledge on Motor vehicle act or exposure in MV act will be considered as added advantage. Tracking of each Matter from Claims Dairy Coordination with other department of mandatory requirements ILM, Operation, Underwriting etc. Smooth Processing of ClaimMandatory Skills:Insurance & Allied...


  • Rajarhat, Kolkata, West Bengal, India bajajallianz Full time

    **All Risk Claims Management**: - Implement Claims SOP within the team and service network and ensure adherence of the same in region - Monitoring day to day claims activities and ensure claim settlement as per agreed TAT at region - Guide and direct the team member in handling critical claims - End to End claims processing, approving/repudiating claims...


  • Kolkata, West Bengal, India Risk Shield Insurance Broking Limited Full time

    **Motor Claims Settlement Handling Officer** **Location**: Bhawanipore **Responsibilities**: - Handle a caseload of motor claims, assessing their complexity. - Investigate facts of loss, including employment details, damages, and disability. - Analyze coverage and confirm liability. - Negotiate settlements with claimants. - Identify potential fraud...


  • Rajarhat, India Allianz Full time

    Job Description:Not available at the momentSkills Required:Industry Understanding & Competitive Awareness; Claims Assessment; CommunicationDesirable Skills:Good communication skills. 2.Flexible & adaptable to change. 3.Well versed with MS Office. 4.Should have good analytical and problem-solving skills. 5.Should be aware of the Local language.


  • Kolkata, West Bengal, India Serving Skill Full time

    1) Handling and management of litigation pertaining to Motor accident claims, Consumer litigation and other legal related issues, tribunals 2) Dealing with Courts, Advocates and Investigators for effective handling of claims 3) Appointment of advocates and Regular follow up with Advocates for opinions for compromise/contest 4) Adducing evidences in legal...

  • Claims Processor

    2 weeks ago


    Kolkata, West Bengal, India WTW Full time

    Claims Processor - Kolkata, IN February 22, 2024 **Key Responsibilities** - Process claims with high standard of quality and efficiency. - Enter and process participant reimbursement requests daily in the claims processing system. - Review participants’ submitted material and determine if it meets applicable guidelines for appropriate reimbursement. -...


  • Kolkata, West Bengal, India WTW Full time

    Trainee - Claims Processer - Kolkata, IN February 16, 2024 **The Role** - Process claims with high standard of quality and efficiency. - Enter and process participant reimbursement requests daily in the claims processing system. - Review participants’ submitted material and determine if it meets applicable guidelines for appropriate reimbursement. -...


  • Kolkata, West Bengal, India U.S. Embassy & Consulates in India Full time

    **Hiring Path**: - Open to the public **Who May Apply/Clarification From the Agency**: - For USEFM - FP is 06. Actual FP salary determined by Washington D.C.- All Interested Applicants / All Sources **Security Clearance Required**: Public Trust - Background Investigation **Appointment Type** Permanent **Appointment Type Details**: **Marketing...

  • Kfc Team Member

    2 weeks ago


    Rajarhat, Kolkata, West Bengal, India KFC Full time

    **ONLY FOR KFC chinnar park, kaikhali** Looking for FULLTIMER team member/cashier in KFC RESTAURANT - You have pack food and take guest order, - clean the place, - follow the hygiene , we will give you training properly. directly come for an interview at kfc chinnar park between 12 am to 9 pm Monday to Friday with your biodata/cv. position - Team...

  • Kfc Team Member

    2 weeks ago


    Rajarhat, Kolkata, West Bengal, India KFC Full time

    ONLY FOR KFC chinnar park, kaikhaliLooking for FULLTIMER team member/cashier in KFC RESTAURANT You have pack food and take guest order,- clean the place,- follow the hygiene ,we will give you training properly. directly come for an interview at kfc chinnar park between 12 am to 9 pm Monday to Friday with your biodata/cv.position Team Memberworking hours 8...

  • Kfc Team Member

    5 days ago


    Rajarhat, Kolkata, West Bengal, India KFC Full time

    position - team member working hours - 8 hours, 1 weekly off benifit - esi and pf requirements - 8th pass and above salary - 10200 rs in hand monthly contact now with your resume **Job Types**: Full-time, Part-time, Permanent Pay: From ₹10,200.00 per month **Benefits**: - Leave encashment - Life insurance - Provident Fund Schedule: - Day shift -...

  • Field Investigator

    2 months ago


    Kolkata, West Bengal, India Greves Protection Management Pvt.Ltd Full time

    **About Us**: We are a leading corporate investigation and brand protection company based in Delhi. We specialize in providing comprehensive services to a diverse client base including law firms, Fortune 500 companies, intellectual property attorneys, insurance agencies etc. Our dedicated team is committed to delivering strategic solutions that protect our...

  • Kfc Team Member

    2 weeks ago


    Rajarhat, Kolkata, West Bengal, India KFC Full time

    position- team memberworking hours 8 hours, 1 weekly offbenifit- esi and pfrequirements 8th pass and abovesalary rs in hand monthlycontact now with your resumeJob Types: Full-time, Part-time, PermanentPay: From ₹10,200.00 per monthBenefits: Leave encashment Life insurance Provident FundSchedule: Day shift Evening shift Morning shift Night shift Rotational...

  • Executive-execution

    3 weeks ago


    Rajarhat, Kolkata, West Bengal, India Bajaj Allianz General Insurance Company Full time

    : - Smooth Processing of Claim Reserve Setting Line of Action to be taken from Approval Team Tracking of each Matter from Claims Dairy Scrutiny of Investigation Reports Settlement of Clear matters Co-ordinate with Advocates for processing of MACP Claims Co-ordination with other department of mandatory requirements - ILM, Operation, Underwriting etc. ...


  • Rajarhat, Rangpur Division, India Allianz Full time

    Job Description:Not available at the momentSkills Required:ExecutionLawyerLLBDesirable Skills:Not available at the moment